Active NPI
Fonta Marina Zimm
- Nurse Practitioner
- Duluth, MN
National Provider Identifier
1295612877
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- IDK
- Practice address
- 1200 Kenwood Ave
Duluth, MN 55811-4199 - Phone
- (218) 723-6000
- NPI assigned
- Aug 18, 2025
- Last updated
- Aug 18, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | IDK | MN | Primary |
Addresses
Primary practice location
1200 Kenwood Ave
Duluth, MN 55811-4199
Mailing address
1618 Maryland Ave S
St Louis Park, MN 55426-2024
Phone (218) 310-7680
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| IDK | MN | MD | Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1755475200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1755475200000",
"number": "1295612877",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1618 MARYLAND AVE S",
"city": "ST LOUIS PARK",
"state": "MN",
"postal_code": "554262024",
"telephone_number": "218-310-7680"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 KENWOOD AVE",
"city": "DULUTH",
"state": "MN",
"postal_code": "558114199",
"telephone_number": "218-723-6000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZIMM",
"first_name": "FONTA",
"middle_name": "MARINA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-08-18",
"last_updated": "2025-08-18",
"certification_date": "2025-08-18",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner",
"state": "MN",
"license": "IDK",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Duluth, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.